The U.S. reported over 817,000 new cases of coronavirus over the seven days ending September 28, bringing the total count to more than 42.6 million confirmed cases of COVID-19. There have been more than 683,000 COVID-19-related deaths — the highest death toll of any country.
New cases continue to rise, albeit at a slowing rate. In the past week, there were an average of 39.7 daily new coronavirus cases per 100,000 Americans — a decrease from the week prior, when there were an average of 47.3 daily new coronavirus cases per 100,000 people.
While new data shows that the risk of contracting COVID-19 is high in almost every part of the country, cities continue to be the sites of major outbreaks and superspreader events. Experts agree that the virus is more likely to spread in group settings where large numbers of people routinely have close contact with one another, such as colleges, nursing homes, bars, and restaurants. Metropolitan areas with a high degree of connectivity between different neighborhoods and a large population may be particularly at-risk.
The metro areas with the highest incidence of COVID-19 cases are distributed relatively unevenly across the United States. Of the 50 metro areas with the highest case counts per capita, 39 are in the South, seven are in the Midwest, four are in the West, and zero are in the Northeast.
The five metro areas with the highest number of coronavirus cases per capita are: Lubbock, TX; Bismarck, ND; San Angelo, TX; Laredo, TX; and Miami-Fort Lauderdale-Pompano Beach, FL. The incidence of COVID-19 in these metro areas range from 20,494.3 cases per 100,000 to 20,252.7 cases per 100,000. For comparison, there are currently 13,207.9 cases per 100,000 Americans nationwide.
The 50 cities with the highest incidence of COVID-19 have over 5,200 more coronavirus cases per capita than the U.S. as a whole, but cases are growing at a slowing rate. There were an average of 53.7 daily new coronavirus cases per 100,000 people in the week ending September 28, a decrease from the week prior, when there were an average of 70.0 daily new coronavirus cases per 100,000 people. In six of the 50 cities with the highest COVID-19 incidence, new cases are rising at an increasing rate.
To determine the cities with the most COVID-19 cases, 24/7 Wall St. compiled and reviewed data from state and local health departments. We ranked metro areas based on the number of confirmed COVID-19 cases per 100,000 residents as of September 28. To estimate the incidence of COVID-19 at the metropolitan level, we aggregated data from the county level using boundary definitions from the U.S. Census Bureau. Population data used to adjust case and death totals came from the U.S. Census Bureau’s 2019 American Community Survey and are five-year estimates. Unemployment data is from the Bureau of Labor Statistics and is seasonally adjusted.

50. Joplin, MO
> Confirmed COVID-19 cases as of September 28: 29,446
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,533.4
> Cumulative COVID-19 deaths as of September 28: 446
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 250.4
> Population: 178,100

49. Evansville, IN-KY
> Confirmed COVID-19 cases as of September 28: 52,368
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,626.9
> Cumulative COVID-19 deaths as of September 28: 758
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 240.7
> Population: 314,960

48. Brunswick, GA
> Confirmed COVID-19 cases as of September 28: 19,552
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,654.2
> Cumulative COVID-19 deaths as of September 28: 396
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 337.3
> Population: 117,400

47. Corpus Christi, TX
> Confirmed COVID-19 cases as of September 28: 71,509
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,686.3
> Cumulative COVID-19 deaths as of September 28: 1,404
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 327.6
> Population: 428,548
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).

46. Fayetteville-Springdale-Rogers, AR
> Confirmed COVID-19 cases as of September 28: 85,879
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,699.6
> Cumulative COVID-19 deaths as of September 28: 1,049
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 204.0
> Population: 514,259

45. Hammond, LA
> Confirmed COVID-19 cases as of September 28: 22,081
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,720.8
> Cumulative COVID-19 deaths as of September 28: 467
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 353.6
> Population: 132,057

44. Cape Coral-Fort Myers, FL
> Confirmed COVID-19 cases as of September 28: 123,627
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,763.7
> Cumulative COVID-19 deaths as of September 28: 1,613
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 218.7
> Population: 737,468

43. Birmingham-Hoover, AL
> Confirmed COVID-19 cases as of September 28: 183,513
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,908.5
> Cumulative COVID-19 deaths as of September 28: 2,767
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 254.9
> Population: 1,085,330

42. Crestview-Fort Walton Beach-Destin, FL
> Confirmed COVID-19 cases as of September 28: 46,077
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,936.6
> Cumulative COVID-19 deaths as of September 28: 646
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 237.5
> Population: 272,056

41. Kokomo, IN
> Confirmed COVID-19 cases as of September 28: 13,971
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,969.3
> Cumulative COVID-19 deaths as of September 28: 273
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 331.6
> Population: 82,331

40. Jacksonville, FL
> Confirmed COVID-19 cases as of September 28: 255,434
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 16,988.5
> Cumulative COVID-19 deaths as of September 28: 3,947
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 262.5
> Population: 1,503,574

39. Mobile, AL
> Confirmed COVID-19 cases as of September 28: 73,305
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,021.7
> Cumulative COVID-19 deaths as of September 28: 1,282
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 297.7
> Population: 430,655

38. Daphne-Fairhope-Foley, AL
> Confirmed COVID-19 cases as of September 28: 36,242
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,028.6
> Cumulative COVID-19 deaths as of September 28: 495
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 232.6
> Population: 212,830
37. Danville, IL
> Confirmed COVID-19 cases as of September 28: 13,343
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,202.8
> Cumulative COVID-19 deaths as of September 28: 190
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 245.0
> Population: 77,563

36. Valdosta, GA
> Confirmed COVID-19 cases as of September 28: 25,017
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,215.7
> Cumulative COVID-19 deaths as of September 28: 355
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 244.3
> Population: 145,315

35. El Paso, TX
> Confirmed COVID-19 cases as of September 28: 144,605
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,296.0
> Cumulative COVID-19 deaths as of September 28: 2,821
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 337.4
> Population: 836,062
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
34. Houma-Thibodaux, LA
> Confirmed COVID-19 cases as of September 28: 36,394
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,317.1
> Cumulative COVID-19 deaths as of September 28: 586
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 278.8
> Population: 210,162

33. Sioux City, IA-NE-SD
> Confirmed COVID-19 cases as of September 28: 24,977
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,363.7
> Cumulative COVID-19 deaths as of September 28: 350
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 243.3
> Population: 143,846
These are all the counties in Iowa where COVID-19 is slowing (and where it’s still getting worse).

32. Amarillo, TX
> Confirmed COVID-19 cases as of September 28: 45,875
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,391.7
> Cumulative COVID-19 deaths as of September 28: 884
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 335.1
> Population: 263,776
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).

31. Panama City, FL
> Confirmed COVID-19 cases as of September 28: 31,777
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,444.5
> Cumulative COVID-19 deaths as of September 28: 639
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 350.8
> Population: 182,161

30. Hattiesburg, MS
> Confirmed COVID-19 cases as of September 28: 29,530
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,558.9
> Cumulative COVID-19 deaths as of September 28: 515
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 306.2
> Population: 168,177

29. Tallahassee, FL
> Confirmed COVID-19 cases as of September 28: 67,140
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,566.9
> Cumulative COVID-19 deaths as of September 28: 703
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 183.9
> Population: 382,197

28. Florence, SC
> Confirmed COVID-19 cases as of September 28: 36,582
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,801.3
> Cumulative COVID-19 deaths as of September 28: 699
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 340.1
> Population: 205,502

27. Nashville-Davidson–Murfreesboro–Franklin, TN
> Confirmed COVID-19 cases as of September 28: 333,845
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,834.5
> Cumulative COVID-19 deaths as of September 28: 3,325
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 177.6
> Population: 1,871,903

26. Bowling Green, KY
> Confirmed COVID-19 cases as of September 28: 31,140
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,845.5
> Cumulative COVID-19 deaths as of September 28: 334
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 191.4
> Population: 174,498

25. Rome, GA
> Confirmed COVID-19 cases as of September 28: 17,412
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,882.5
> Cumulative COVID-19 deaths as of September 28: 311
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 319.4
> Population: 97,369

24. Pensacola-Ferry Pass-Brent, FL
> Confirmed COVID-19 cases as of September 28: 87,580
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 17,937.7
> Cumulative COVID-19 deaths as of September 28: 1,413
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 289.4
> Population: 488,246

23. Gainesville, GA
> Confirmed COVID-19 cases as of September 28: 35,850
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,045.3
> Cumulative COVID-19 deaths as of September 28: 562
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 282.9
> Population: 198,667

22. Sioux Falls, SD
> Confirmed COVID-19 cases as of September 28: 46,994
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,120.1
> Cumulative COVID-19 deaths as of September 28: 540
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 208.2
> Population: 259,348

21. Lakeland-Winter Haven, FL
> Confirmed COVID-19 cases as of September 28: 124,944
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,207.6
> Cumulative COVID-19 deaths as of September 28: 2,198
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 320.3
> Population: 686,218

20. Morristown, TN
> Confirmed COVID-19 cases as of September 28: 25,768
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,286.6
> Cumulative COVID-19 deaths as of September 28: 376
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 266.8
> Population: 140,912

19. Anniston-Oxford, AL
> Confirmed COVID-19 cases as of September 28: 21,211
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,505.8
> Cumulative COVID-19 deaths as of September 28: 410
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 357.7
> Population: 114,618

18. Spartanburg, SC
> Confirmed COVID-19 cases as of September 28: 57,342
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,640.7
> Cumulative COVID-19 deaths as of September 28: 999
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 324.8
> Population: 307,617

17. Monroe, LA
> Confirmed COVID-19 cases as of September 28: 38,066
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,709.6
> Cumulative COVID-19 deaths as of September 28: 764
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 375.5
> Population: 203,457

16. Gadsden, AL
> Confirmed COVID-19 cases as of September 28: 19,300
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,783.8
> Cumulative COVID-19 deaths as of September 28: 462
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 449.6
> Population: 102,748

15. Greenville-Anderson, SC
> Confirmed COVID-19 cases as of September 28: 168,436
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,799.9
> Cumulative COVID-19 deaths as of September 28: 2,447
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 273.1
> Population: 895,942
14. Pine Bluff, AR
> Confirmed COVID-19 cases as of September 28: 17,105
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,824.6
> Cumulative COVID-19 deaths as of September 28: 310
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 341.2
> Population: 90,865

13. Jackson, TN
> Confirmed COVID-19 cases as of September 28: 33,609
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 18,834.7
> Cumulative COVID-19 deaths as of September 28: 587
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 329.0
> Population: 178,442

12. El Centro, CA
> Confirmed COVID-19 cases as of September 28: 34,462
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 19,071.3
> Cumulative COVID-19 deaths as of September 28: 755
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 417.8
> Population: 180,701
11. Provo-Orem, UT
> Confirmed COVID-19 cases as of September 28: 118,111
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 19,149.3
> Cumulative COVID-19 deaths as of September 28: 500
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 81.1
> Population: 616,791
These are all the counties in Utah where COVID-19 is slowing (and where it’s still getting worse).

10. Jonesboro, AR
> Confirmed COVID-19 cases as of September 28: 25,308
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 19,283.6
> Cumulative COVID-19 deaths as of September 28: 324
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 246.9
> Population: 131,241

9. Yuma, AZ
> Confirmed COVID-19 cases as of September 28: 40,536
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 19,351.9
> Cumulative COVID-19 deaths as of September 28: 890
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 424.9
> Population: 209,468
8. Cleveland, TN
> Confirmed COVID-19 cases as of September 28: 24,119
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 19,678.9
> Cumulative COVID-19 deaths as of September 28: 194
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 158.3
> Population: 122,563

7. Dalton, GA
> Confirmed COVID-19 cases as of September 28: 28,437
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 19,753.3
> Cumulative COVID-19 deaths as of September 28: 418
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 290.4
> Population: 143,961

6. Hanford-Corcoran, CA
> Confirmed COVID-19 cases as of September 28: 30,419
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 20,186.3
> Cumulative COVID-19 deaths as of September 28: 293
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 194.4
> Population: 150,691

5. Miami-Fort Lauderdale-Pompano Beach, FL
> Confirmed COVID-19 cases as of September 28: 1,233,525
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 20,252.7
> Cumulative COVID-19 deaths as of September 28: 16,532
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 271.4
> Population: 6,090,660

4. Laredo, TX
> Confirmed COVID-19 cases as of September 28: 55,593
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 20,324.6
> Cumulative COVID-19 deaths as of September 28: 865
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 316.2
> Population: 273,526
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).

3. San Angelo, TX
> Confirmed COVID-19 cases as of September 28: 24,020
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 20,358.3
> Cumulative COVID-19 deaths as of September 28: 348
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 295.0
> Population: 117,986
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).

2. Bismarck, ND
> Confirmed COVID-19 cases as of September 28: 26,012
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 20,401.1
> Cumulative COVID-19 deaths as of September 28: 319
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 250.2
> Population: 127,503

1. Lubbock, TX
> Confirmed COVID-19 cases as of September 28: 64,859
> Confirmed COVID-19 cases as of September 28 per 100,000 residents: 20,494.3
> Cumulative COVID-19 deaths as of September 28: 973
> Cumulative COVID-19 deaths as of September 28 per 100,000 residents: 307.5
> Population: 316,474
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).




